Individual
YANET MONTELONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201
(575) 755-2272
(575) 622-3325
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-1486
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
B-08295
NM
1041C0700X
Clinical Social Worker
Primary
M-10232
NM
Other
Enumeration date
05/14/2014
Last updated
08/22/2018
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